Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.71 / $849.00 / $7,705.33	Facility		$92.71	$849.00	$7,705.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.34 / $145.15 / $523.03	Professional		$80.34	$145.15	$523.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.36 / $735.90 / $1,510.81	Facility		$478.36	$735.90	$1,510.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.32 / $128.28 / $187.99	Professional		$88.32	$128.28	$187.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.13 / $136.43 / $220.85	Professional		$85.13	$136.43	$220.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $97.08 / $162.74 / $385.27	Professional		$97.08	$162.74	$385.27
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $84.10 / $93.09 / $151.11	Professional		$84.10	$93.09	$151.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $72.65 / $170.87	Professional		$32.34	$72.65	$170.87
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $1,032.00 / $3,686.00	Facility		$165.00	$1,032.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $119.06 / $175.58 / $304.30	Professional		$119.06	$175.58	$304.30